Author Question: A teen comes to the school nurse to get help with anxiety about singing in front of the school. The ... (Read 77 times)

Brittanyd9008 · **on:** Jul 19, 2018

A teen comes to the school nurse to get help with anxiety about singing in front of the school. The teen states, I just know everyone is going to laugh.

What if I sing off-key? What does the nurse recognize as the teen's source of anxiety? 1. Unmet expectations important to self-integrity
2. Inability to gain or reinforce self-respect from others
3. Discrepancies between self-view and actual behavior
4. Anticipated disapproval by significant others

Question 2

The charge nurse is reviewing the care plans for the clients on the unit. In several care plans, the nurse has noted that the words noncompliant and manipulative have been used to describe those clients with severe mental illness.

The nurse plans on discussing this with the staff at the next unit meeting. Which of the following responses will demonstrate the charge nurse's personal accountability to the staff? 1. If you use these terms regularly, you will need to reassess your reasons for working in psychiatric settings.
2. Does the use of these terms reflect an underlying level of stress on the unit that I should be aware of?
3. While these terms might be accurate, they are not appropriate to use in a care plan.
4. How might these terms reflect negativity and stigma towards persons with mental illness?

ladyjames123 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

4
Rationale: The teen is anticipating disapproval by significant others/peers, which is of developmental importance to teenagers. The event has not yet occurred, so it cannot be a discrepancy between the self-view and actual behavior. Gaining or reinforcing respect is not the teen's issue. There is no failure to accomplish a goal.

Answer to Question 2

4
Rationale: By asking the staff about the impact of these terms, the charge nurse is providing feedback to the staff and asking them to engage in critical thinking to improve the quality of care. Telling the staff that the terms are not appropriate to use or that by using them the staff need to reassess their reasons for working on the unit does not promote dialog or enhance problem solving. Assuming the reason for the use of the terms before engaging in a dialog with the staff closes off communication and does not enhance problem solving or feedback.